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22-7A-1
Section 22-7A-1 Physician agreements; dentist agreements. (a) For the purposes of this chapter,
the following words shall have the following meanings: (1) DENTIST. A person licensed to practice
dentistry in this state. (2) DENTIST AGREEMENT or AGREEMENT. A contract between a dentist
and a patient or his or her legal representative in which the dentist or the dentist's medical
practice agrees to provide dental services to the patient for an agreed upon fee and period
of time. (3) DENTIST PRACTICE. A dentist or a dental practice of a dentist that charges a
periodic fee for dental services and which does not bill a third party any additional fee
for services for patients covered under a dental agreement. The per visit charge of the practice
shall be less than the monthly equivalent of the periodic fee. (4) PHYSICIAN. A person licensed
to practice medicine in this state. (5) PHYSICIAN AGREEMENT or AGREEMENT. A contract between
a physician and a patient or his or her legal representative in...
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27-21A-1
Section 27-21A-1 Definitions. As used in this chapter, the following terms shall have the following
meanings, respectively: (1) AGENT. A person who is appointed or employed by a health maintenance
organization and who engages in solicitation of membership in such organization. This definition
does not include a person enrolling members on behalf of an employer, union, or other organization.
(2) BASIC HEALTH CARE SERVICES. Emergency care, inpatient hospital and physician care, and
outpatient medical services. (3) COMMISSIONER. The Commissioner of Insurance. (4) ENROLLEE.
An individual who is enrolled in a health maintenance organization. (5) EVIDENCE OF COVERAGE.
Any certificate, agreement, or contract issued to an enrollee setting out the coverage to
which he is entitled. (6) HEALTH CARE SERVICES. Any services included in the furnishing to
any individual of medical or dental care, or hospitalization or incident to the furnishing
of such care or hospitalization, as well as the...
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27-21B-9
Section 27-21B-9 Garnishment of wages. (a) The Alabama Medicaid Agency may garnish the wages,
salary, or other employment income of any person who is required by a court or administrative
order to provide coverage of the costs of health services to a child who is eligible for medical
assistance and has received payment from a third party for the cost of services for the child
but has not used the payments to reimburse the other parent or guardian of the child, the
provider of services, or the Alabama Medicaid Agency for its payments made. Current or past
due child support shall have priority over claims for the costs of the services. (b) In addition
to the powers granted in subsection (a), the Alabama Medicaid Agency may notify the State
Department of Revenue of any amounts due under this section. Upon proper and timely notice,
the department shall withhold any amount from any state tax refund due to the above-described
person. (Acts 1994, No. 94-710, p. 1377, §9.)...
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31-9B-3
Section 31-9B-3 Providing of information; requirements for emergency and disaster planning
provisions; immunity. (a) All appropriate agencies and community-based service providers,
including, but not limited to, home health care providers, hospices, community mental health
centers, and related facilities, but not including health care facilities which provide inpatient
care to include general and specialized hospitals including ancillary services, skilled nursing
facilities, intermediate care facilities, or any assisted living facility, shall provide information
on the number of individuals with medical needs and shall assist the State Health Department
in the establishment of programs to increase the awareness of medical needs shelters, and
in educating clients and sponsors or caregivers about the procedures that may be necessary
for their safety during disasters. (b) State agencies that regulate or contract with providers
of services, or both, for persons with disabilities or...
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22-6-40
Section 22-6-40 Medicaid Agency authorized to increase financing and adjust insurance premiums
for family practitioners, pediatricians and obstetricians. The Legislature recognizes the
shortage of and the decline in obstetrical care in the rural areas of the state and the hardship
imposed on those who are required to travel many miles to obtain the necessary prenatal care
and ultimately delivery at term. The Legislature further recognizes the high infant mortality
rates that are attributed in part to inadequate care during pregnancy, delivery, and necessary
care after delivery. The Legislature further recognizes that the reduction in available care
and services is attributed in part to high liability insurance premiums. In recognizing the
ability of the Alabama Medicaid Agency to maximize state revenues, it is the intent of the
Legislature that the Alabama Medicaid Agency provide increased financing for family practitioners,
pediatricians and obstetricians to increase availability of...
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22-5B-4
Section 22-5B-4 Alabama Lifespan Respite Resource Network. There is created the Alabama Lifespan
Respite Resource Network as the statewide entity that shall do the following: (1) Address
issues relating to respite care in our state. (2) Maintain a statewide system that facilitates
the availability and use of high quality, cost-effective lifespan respite services that provide
caregivers the break they need from caring for a loved one with disability or chronic illness.
(3) Develop and coordinate the Alabama Lifespan Respite Coalition. (4) Work in collaboration
with the eligible state agency and the Governor's Office to access funding through the federal
Lifespan Respite Care Act of 2006 (PL109-442). (5) Identify statewide respite care providers.
(6) Maintain a directory of respite services in Alabama and link family caregivers with respite
care providers and other types of respite-related programs. (7) Provide technical assistance
to community-based organizations and other entities that...
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22-6-120
Section 22-6-120 Legislative findings. The Legislature finds the following: (1) The availability
of appropriate pharmaceutical benefits to every Alabama citizen is a critical component to
the overall health of its population. (2) Alabama should strive to provide appropriate, safe,
effective, and cost-efficient pharmaceutical care to those who depend on health benefits through
state funded programs. (3) The Alabama Medicaid Agency should endeavor to manage the Medicaid
Pharmacy Program utilizing clinical management tools in a manner to foster optimal health
outcomes at reasonable costs. (4) State Medicaid programs and private insurance plans across
the country utilize preferred drug lists as an effective way to foster and encourage clinically
appropriate and safe use of pharmaceuticals in a cost-effective manner. (5) Based on the proven
effectiveness of preferred drug programs to foster appropriate use of drugs, it is in the
best interests of Alabama and its citizens for the Alabama...
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22-6-200
Section 22-6-200 Federal financial participation; contract for services. This article shall
be of no effect if federal financial participation under Title XIX of the Social Security
Act is not available to the Medicaid program for the purposes of this article at the approved
federal medical assistance percentage, established under Section 1905 of the Social Security
Act, for the applicable fiscal year, or in the event a contract for services between the PACE
program and the State of Alabama Medicaid Agency or Regional Care Organization is not executed
by September 30, 2014, and by the end of each subsequent state fiscal year thereafter. (Act
2014-126, p. 236, §11.)...
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27-57-1
Section 27-57-1 Definitions. As used in this chapter, the following words and terms shall have
the following meanings: (1) COLORECTAL CANCER EXAMINATIONS. Examinations and laboratory tests
specified in current American Cancer Society guidelines for colorectal cancer screening of
asymptomatic individuals. (2) HEALTH BENEFIT PLAN. A group health insurance policy that covers
hospital, medical, or surgical expenses, health maintenance organizations, preferred provider
organizations, medical service organizations, physician-hospital organizations, or any other
person, firm, corporation, joint venture, or other similar business entity that pays for,
purchases, or furnishes health care services to patients, insureds, or beneficiaries in this
state. For the purposes of this chapter, a health benefit plan located or domiciled outside
of the State of Alabama is deemed to be subject to this chapter if it receives, processes,
adjudicates, pays, or denies claims for health care services submitted...
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36-1A-5
Section 36-1A-5 Participation limited to voluntary, charitable, health and human care federations
and agencies with a substantial local presence. (a) Participation in the Alabama State Employee
Combined Charitable Campaign shall be limited to voluntary, charitable, health and human care
federations and agencies with a substantial local presence that provide or support direct
health and welfare services to individuals or their families and meet the criteria set forth
in this section. "Substantial local presence" is defined as a facility, staffed
by professionals or volunteers, available to provide its services and open at least 15 hours
a week. Such services must be available to state employees in the local campaign community,
unless they are rendered to needy persons overseas. Such services must directly benefit human
beings, whether children, youth, adults, the aged, the ill and infirm, or the mentally or
physically handicapped. Such services must consist of care, research, or...
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